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Jerry C Johnson, MD

Geriatric Medicine (Internal Medicine) Physician in Philadelphia, PA · enumerated 2006 · practices at University of Penn - Medical Group.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1669415972

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Registry record

Entity type Individual (Type 1)
Name Jerry C Johnson
Credential MD
Sex Male
Practice address 3615 Chestnut St, Ralston Penn Center, Philadelphia, PA, 19104
Fax (215) 349-5648
Enumeration date Jun 14, 2006
Last updated in NPPES Mar 23, 2012

Taxonomy & licenses

207RG0300X Geriatric Medicine (Internal Medicine) Physician Allopathic & Osteopathic Physicians · License MD019829E (PA) Primary
207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians · License MD019829E (PA) Secondary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier Type State Issuer
0007361000007 Medicaid PA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Jerry Johnson?
The National Provider Identifier (NPI) for Jerry Johnson is 1669415972, a Type 1 (individual) record in the CMS NPPES registry.
Where does Jerry Johnson practice?
The practice location on file with NPPES is in Philadelphia, PA. Providers can have multiple locations; NPPES lists the primary practice address.

Other providers at this practice address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-03-23.